Yu de mek wan strenj nɔys we yu de blo? I kin bi stridor!

Yu dɔn ɛva fil ay ay sawnd we de kɔmɔt na yu trot ɔ yu nɛk, sɔntɛnde we yu de blo ɔ kɔmɔt? Ɔ yu dɔn yɛri yu smɔl pikin de mek wispa sawnd? Dis na wetin wi kin kɔl stridor pan mɛrɛsin. I kin mek yu fred smɔl fɔ yɛri, bɔt nɔ wɔri. Lɛ wi ɔndastand ɔltin bɔt dis kɔndishɔn we dɛn kɔl stridor.

Wetin rili na Stridor?

Fɔ tɔk am simpul wan, stridor na sayn fɔ sho se sɔntin de ambɔg ɔ blok sɔmsay na yu trot, ɔ farinx, ɔ larynx, ɔ trakya. I tan lɛk wata paip we de mek nɔys we di wata de flɔ. We dis aywe blok, wan abnɔmal, ay-pitch sawnd de mek as di briz de muv bak ɛn biɛn.

Imajin, if wi jɔs tek wan straw ɛn pres wan ɛnd pan am smɔl ɛn blo, i de mek sawnd lɛk dis. Na so stridor de soun.

Yu tink se kayn stridor de?

Yɛs, tri men kayn stridor de. Dɛn kin klas dɛn tin ya bay usay na di aywe di ɔbstrɔkshɔn de apin.

1. Inspiratory stridor: dis kin apin we wan obstrכkshכn de na yu farinx כ larynx (i.e., di εkstrathoracic rijyכn). Dɛn kin yɛri di sawnd we yu de blo.

2. εkspiratory stridor: na ya di obstrכkshכn de jכs oba yu lכng dεm, insay di trakya (intrathoracic region). So di sawnd de mek we yu de blo.

3. Biphasic stridor: Wan gud egzampl fכ dis na wan kכndyushכn we dεn kכl Laryngomalacia. Dis na we di katilej we de dɔŋ di vɔkal kɔd dɛn wik, we kin mek di say we di briz de blo smɔl ɛn mek sawnd we yu de blo ɛn blo . Dis kin de pan sɔm pikin dɛn frɔm we dɛn bɔn dɛn.

Udat kin gɛt stridor mɔ?

Stridor kin afɛkt ɛnibɔdi we ol ɛni ej. Bɔt i kin apin mɔ pan smɔl pikin dɛn pas big pipul dɛn . Dis na bikɔs di say dɛn we yɔŋ pikin dɛn kin blo nɔ kin wayd lɛk di wan dɛn we big pipul dɛn kin blo, dɛn kin smɔl pasmak. So, ivin smɔl tin ɔ smɔl swɛlin kin ebul fɔ blok dɛn izi wan. sכmtεm, stridor kin de we dεn bכn am (congenital).

Aw i kɔmɔn kin difrɛn difrɛn wan bay di tin we kin mek i apin. fכ egzampl, stridor kin kכmכt fכ di vayral kכp, we na wan כp respiratory infεkshכn we kin afekt yכng pikin dεm. Dɛn se dis sik kin afɛkt lɛk 5 to 6 pan 100 pikin dɛn we nɔ rich 3 ia yet.Stridor kin kam bak bikɔs ɔf fɔrin bɔdi aspireshɔn, we kin apin we sɔntin stɔp na di trot ɔ di say we di briz de blo. Insay Amɛrika nɔmɔ, dɛn kin ripɔt lɛk 17,000 pan dɛn kayn kes dɛn ya to di dipatmɛnt dɛn we de ɛp pipul dɛn we gɛt prɔblɛm.

Aw stridor kin afɛkt mi bɔdi?

Stridor na wan sik we de kam bikɔs di say we di briz de blok. Dis min se di briz nɔ kin ebul fɔ go insay ɔ kɔmɔt na di lɔng dɛn nɔmal wan. Dis kin mek i nɔ izi fɔ blo . Ɛni ɔgan na wi bɔdi nid ɔksijɛn fɔ mek i wok fayn, ɛn di kabon dayɔgzayd nid fɔ kɔmɔt. So, if dɛn nɔ trit dis sik na Stridor kwik, di bɔdi nɔ go gɛt di ɔksijɛn we dɛn nid, we kin mek ɔda prɔblɛm dɛn we kin mek pɔsin in layf de pan denja .

Wetin na di men sayn fɔ stridor?

Di men sayn fɔ stridor na ay ay wisɛl sawnd we dɛn kin yɛri we yu de blo insay ɔ kɔmɔt . Sɔntɛnde, i kin tan lɛk se pɔsin de kray smɔl.

Dipen pan de kɔz, yu kin gɛt ɔda sayn dɛm:

• Kɔf
• Spit ɔp (especially fɔ smɔl pikin dɛn) .
• Hoarseness, chenj na yu vɔys
• Trot we de at ɛn/ɔ pen na yu nɛk
• Fiva
• Swel na di trot ɛn/ɔ nɛk
• I nɔ kin izi ɛn i kin fil pen we yu de swɛla

Sɔm bad bad sayn dɛm wae nid fɔ go to dɔktɔ kwik kwik wan:

If yu gɛt dɛn sik ya, yu fɔ go na ɔspitul wantɛm wantɛm , ɔ kɔl 1990:

• I nɔ kin izi fɔ yu fɔ blo bad bad wan
• Lip, finga, ɔ skin we de tɔn blu ɔ pepul (dis min se di bɔdi nɔ de gɛt bɛtɛ ɔksijɛn) .
• Nɔ ebul fɔ it ɔ drink ɛnitin
• Fɔ kɔf blɔd

If yu gɛt dɛn kayn bad bad sik ya, nɔ ɛva de na os . I impɔtant fɔ go to dɔktɔ kwik kwik wan.

Wetin na di tin dɛn we kin mek pɔsin gɛt stridor?

Bɔku tin dɛn de we kin mek pɔsin gɛt stridor. Di tin dɛn we kin mek pɔsin gɛt dis sik na:

• wan כp respiratory tract infεkshכn (e.g., vayral krכp) : Dis na di mכst kכmכn kכz fכ stridor pan yכŋ pikin dεm, we de mek lεk 90% pan כl di kes dεm fכ stridor.
• Fɔrin bɔdi aspireshɔn : Smɔl pikin dɛn kin chok pan tin dɛn lɛk tɔys ɛn it.
• Ɛni aksidɛnt ɔ injuri na di say we pɔsin de blo.
• Swel (e.g. tonsilaytis, epiglotaytis). Epiglottitis na wan sik we rili siriɔs.

Sɔntɛm ɔda rizin dɛn de:

• Wan alɛji riakshɔn (siviɔs alɛji) .
• Wan lump (e.g., laryngeal kansa) .
• Absεs we de na di bɔdi
• Vokal kɔd nɔ de wok fayn ɔ paralayz
• We yu inhal smok ɔ kemikal
• Bikɔs dɛn bin dɔn du ɔpreshɔn pan in nɛk

Wetin kin apin to mi bɔdi we a gɛt stridor?

di say we wi de blo na di trot (Pharynx), di larynx (Larynx), di trachea (Trachea), εn di bronchi (Bronchi). di mכt εn di nos de εp fכ kכri כksijεn to di lכng dεm tru dεn aywe dεm ya, εn fכ kכl kabon dayכksayd. Ɔksijɛn impɔtant fɔ mek wi bɔdi kɔntinyu fɔ liv.

Tink bɔt myuzik inschrumɛnt lɛk trɔmpɛt. I de mek sawnd frɔm di vaybreshɔn we di briz de shek we i de pas insay. We wi prɛs di ki dɛn na di trɔmpɛt, di sawnd we i de mek kin chenj. Dat na bikɔs di ki we wi de prɛs de blok di say we di briz de pas, ɛn i de chenj di vaybreshɔn dɛn. Semweso, if yu aywe blok, di sawnd we yu de mek we yu de blo ɛn pul briz go chenj, jɔs lɛk we yu prɛs ki pan trɔmpɛt, di sawnd go chenj.

Aw dɔktɔ dɛn kin no if pɔsin gɛt stridor?

Yu dɔktɔ go no di rayt tin we mek yu gɛt stridor bay we i tek yu sik dɛn, di mɛrɛsin histri, ɛn chɛk yu. Dɔn, dɛn kin du sɔm ɔda tɛst fɔ no if pɔsin gɛt di sik. Sɔm pan dɛn tin ya na:

• Imej tɛst: Na ɛkstrem rayt fɔ di nɛk ɔ chɛst.
• Blɔd gas tɛst: Dis kin chɛk di lɛvɛl we ɔksijɛn ɛn kabon dayɔgzayd de na yu blɔd.
• Pulse oximeter: Dis smɔl tin de tay pan di finga ɛn i de mɛzhɔ di ɔksijɛn lɛvɛl na di blɔd.
• Laryngoscopy ɔ Bronchoscopy: Dis min se yu fɔ put smɔl tiub we gɛt kamɛra (endoscope) tru yu mɔt ɔ yu nos fɔ luk insay yu aywe ɛn lɔng. Dis kin ɛp yu fɔ si ustɛm di blɔk de ɛn aw i tan.

Aw dɛn kin trit Stridor?

di men tin we di tritmɛnt fɔ stridɔr de pe atɛnshɔn pan na fɔ opin di say we di briz de blo ɛn/ɔ fɔ pul di tin we de ambɔg am . Di tritmɛnt dipen pan di tin we mek yu stridor. Bɔt sɔm pan di tritmɛnt dɛn kin bi:

• Ɔpreshɔn: Fɔ pul di tin we dɔn blok ɔ we dɔn stɔp fɔrina, ɔ fɔ mek di say we di briz de blo big.
• Mɛrɛsin: Ridyus di swɛlin (inflammation), trit infekshɔn if i de, ɛn ridyus pen.
• Heimlich maneuver: Dɛn kin yuz dis we fɔ pul sɔntin we dɔn stɔp na di trot.
• Sɔplɛnt ɔksijɛn: Dɛn kin gi ɔksijɛn tru mask ɔ smɔl tiub we dɛn put na di nos.
• Fɔ put tiub insay di say we di briz de blo: Dɛn kin ɔpreshɔn di tiub insay di briz paip (trachea) tru di mɔt, nos, ɔ trot, ɛn dis kin mek say fɔ mek di briz pas te di dɔktɔ pul di tin we dɔn blok.

Afta yu dɔn gɛt tritmɛnt, yu dɔktɔ go kɔntinyu fɔ wach yu sik dɛn fɔ si if di tritmɛnt dɔn wok fayn ɛn if yu wɛl nɔ bad.

Aw kwik a go wɛl afta dɛn dɔn trit mi?

Di tɛm we yu go tek fɔ mek yu wɛl, dipen pan wetin mek yu stridor ɛn us tritmɛnt yu dɔktɔ yuz fɔ pul di say we yu de blo. Wit mɛrɛsin, yu fɔ fil fayn insay tu to tri dez. We yu du ɔpreshɔn, i kin tek smɔl tɛm, ɛn i kin tek sɔm wiks fɔ mek yu kam bak to yu nɔmal. Bɔt ilɛk us tritmɛnt yu pik, yu fɔ fil fridɔm wantɛm wantɛm wans di tin we de ambɔg yu dɔn kɔmɔt .

Aw yu go ridyus di risk fɔ gɛt stridor?

Bɔrku tin de wae kin mek yu gɛt stridor, so e nɔr pɔsibul fɔ avɔyd dɛn ɔl. Bɔt yu kin du dɛn tin ya fɔ ridyus di prɔblɛm we yu gɛt:

• Kip yu yay pan yu smɔl pikin we i de ple ɛn it. Kip smɔl smɔl tin dɛn we dɛn nɔ go de so dat dɛn go put na dɛn mɔt.
• We yu de it, kɔt it smɔl smɔl, chew am fayn fayn wan, ɛn swɛla am. Da we de, yu nɔ go ebul fɔ chok.
• Nɔ lɛf smɔl tɔys ɔ kɔyn usay smɔl pikin dɛn go ebul fɔ ol dɛn.
• Ridyus yu fɔ de na say dɛn we smok de.
• Kip di tɔys ɛn tin dɛn we yu kin yuz bɔku tɛm klin ɛn nɔ gɛt disinfɛkt.
• Wash yu an bɔku tɛm wit sop.

Wetin a fɔ ɛkspɛkt if a gɛt stridor?

Di kwik we yu go fɛn tritmɛnt fɔ klin di say we de ambɔg di we aw yu de blo, na di mɔ yu go ebul fɔ du am. Yu dɔktɔ kin fɛn di kɔz fɔ yu stridor ɛn trit yu kwik bifo ɛni kɔmplikeshɔn kam.

Bɔt mɛmba se if dɛn nɔ trit stridor kwik, i kin mek pɔsin in layf de pan denja . I kin mek yu gɛt tin dɛn lɛk we yu nɔ ebul fɔ blo fayn. Respiratory failure na we yu bכdi nכ de gεt inof כksijεn fכ kip yu bכdi in כgan dεm fכ wok.

Ustɛm a fɔ go to mi dɔktɔ?

If yu gɛt sayn dɛn fɔ stridor, mek shɔ se yu go to dɔktɔ . Stridor na sayn fɔ sho se sɔntin de apin na yu bɔdi we kin mek yu layf de pan denja. Nɔ put am bifo fɔ go to dɔktɔ, bikɔs i kin mek yu gɛt prɔblɛm dɛn we denja if yu nɔ trit yu.

Ustɛm a fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) ?

If yu gɛt nyu onset stridor, ɔ if yu gɛt ɛni prɔblɛm fɔ blo, go na di imejensi rum wantɛm wantɛm, ɔ kɔl 911 .

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• If dɛn du mi ɔpreshɔn fɔ pul wan say we dɔn blok na mi aywe, wetin a go it ɛn drink afta dat?
• Ɛni sayd ɛfɛkt de pan di mɛrɛsin dɛn we yu kin advays?
• A nid fɔ kam bak fɔ wan fɔlɔp apɔntinmɛnt fɔ chɛk mi simptom dɛm?
• Aw a go stɔp mi smɔl pikin fɔ put smɔl smɔl tin dɛn na in mɔt?

Yu tink se stridor ɛn wisɛf na di sem tin?

Pan ɔl we sɔm pipul dɛn kin yuz di wɔd "wheezing" fɔ chenj wit "stridor," difrɛns de bitwin di tu simptom dɛm. "stridor" ɛn "wheezing" ɔl tu de sawnd lɛk ay-pitch wisɛl.

• Stridor de apin we wan tin we de ambɔg yu sεntri (big) aywe (trot, larynx, trachea - mכr na di `extrathoracic region`).
• Wiz kin apin we di smɔl smɔl aywe dɛn we de insay yu lכng (intrathoracic airways) kin blok ɔ smɔl. Dis kin apin to pipul dɛm wae gɛt asma ɛn alɛji.

Stridor kin mɔs si pan yɔŋ pikin dɛm, big pipul dɛm we gɛt sɔntin we dɔn blok na dɛn aywe, ɔr pipul dɛm wae gɛt infekshɔn.

Wetin na di difrɛns bitwin Stridor ɛn Stertor?

• Stertor na abnɔmal sawnd bak we yu kin mek we yu de blo. Bɔt i kin apin we sɔntin blok ɔp yu larynx, we na di ɔp pat na yu nos ɛn trot. Bɔku tɛm, dɛn kin yɛri dis sawnd wit wan vɔys we nɔ de tɔk smɔl. I tan lɛk se pɔsin de snor.
• Stridor na ay-pitch sawnd we de mek we di larynx ɛn di trachea we de dɔŋ am de ambɔg.

Fɔ tɔk am simpul wan, stridor na abnɔmal sawnd we yu de mek we yu de blo (ɔ pul briz), we na sayn frɔm yu bɔdi se sɔntin nɔ de apin to yu aywe ɛn we nid fɔ adrɛs ɔ trit. If yu ɛkspiriɛns dis sawnd, nɔ ignore am. Na bikɔs ɔksijɛn impɔtant fɔ mek wi bɔdi kɔntinyu fɔ liv. Tritmɛnt dɛn de fɔ dis, ɛn wit dɛn tritmɛnt dɛn de, yu kin pul dis abnɔmal sawnd we yu de blo ɛn yu kin wɛl.

## Impɔtant tin dɛn fɔ mɛmba (Take-Home Message)

• Stridor na ay-pitch, wispal sawnd we yu kin yɛri we yu de blo insay ɔ kɔmɔt. Na sayn fɔ se di say dɛn we di briz de blo dɔn stɔp.
• Dis kin apin to yɔŋ pikin dɛn, bikɔs di say dɛn we dɛn kin blo kin smɔl.
• Infεkshכn lεk krכp εn sכmtin we stכk na di trot kin bi di men tin dεm we kin mek yu fil.
• If yu gɛt sayn dɛm lɛk fɔ gɛt siriɔs prɔblɛm fɔ blo ɛn blu skin, na imejensi! Go na di ɔspitul wantɛm wantɛm.
• Stridor kin wɛl kɔmplit wan bay wae yu fɛn ɛn trit di tin wae de mek yu gɛt dis sik.
• Nɔ ɛva ignore wan sayn lɛk dis. I fayn fɔ go to dɔktɔ fɔ advays.

E fayn fɔ yu ɛn yu famili fɔ no bɔt dɛn sik ya. Stay wit wɛlbɔdi!

` Stridor, I nɔ izi fɔ blo, Sik dɛn we pɔsin kin gɛt we i de blo, Trot kɔnjɛshɔn, Krɔp, Pikin wɛlbɔdi, Imejɛnsi kia